FDA Adverse Event
Injury
Summary report: N
MEDIHONEY GEL AND DRESSING
MDR report key: 10307571
·
Received July 21, 2020
Report
- Report Number
- MW5095650
- Event Type
- Injury
- Date Received
- July 21, 2020
- Date of Event
- December 1, 2018
- Report Date
- July 18, 2020
- Manufacturer
- INTEGRA LIFE SCIENCES CORPORATION
- Product Code
- FRO
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WI, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
PATIENT WAS PRESCRIBED MEDIHONEY GEL (INTEGRA LIFE SCIENCES) TO USE AS A WOUND PROTECTANT. HE THEN DEVELOPED A SEVERE ALLERGIC CONTACT DERMATITIS DUE TO THE MEDIHONEY GEL. HE HAD A POSITIVE OPEN APPLICATION TEST WITH THE PRODUCT. NO REACTION TO PROPOLIS. HE IS ALLERGIC TO PROPYLENE GLYCOL, FRAGRANCES, AND TEA TREE OIL, NONE OF WHICH ARE LISTED AS INGREDIENTS ON MEDIHONEY GEL (LABEL SAYS 80% MANUKA HONEY, 20% "OTHER") FDA SAFETY REPORT ID # (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 766781 | MEDIHONEY GEL AND DRESSING | DRESSING, WOUND, DRUG | FRO | INTEGRA LIFE SCIENCES CORPORATION |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 62 YR | Other |